A holistic approach to hepatitis-B induced osteoarthritis by ayurvedic management: A case report

Abstract

A case of degenerative joint disease (acute osteoarthritis) with chronic hepatitis B radiologically diagnosed
of a 46-year-old male patient presented with chief complaints of a pain in the right knee joint with crepitus
and decrease range of flexion movement in the right knee joint associated with swelling. The patient was
asymptomatic during clinical phase as hepatitis B causes no symptoms in about 69% of affected people. The
patient was treated with Panchakarma therapy and some ayurvedic polyherbal alleviating (Sanshamana) drugs as
per line of management of Asthi and Sandhigata Vata. Initially, the patient had been administered Deepana and
Pachana. Further Panchtikta Ksheer Basti and Sthanik Taila Dhara were administered along with Ashwagandha
and Mulethi Churna. This resulted with relief of the pain along with swelling and the investigation like hepatitis B
virus (HBV) quantitative polymerase chain reaction (PCR) and hepatitis B surface antigen were repeated. The
result of the investigation showed that range of HBV quantitative PCR came within normal limits. Follow-up for
next 1-month showed normalcy of the effect of medicines. The results of the treatment were encouraging, and
there were no side effects during the therapy.